Atomoxetine for attention deficit hyperactivity disorder in children

Atomoxetine may be used in children with attention deficit hyperactivity disorder (ADHD) if:

  • treatment with stimulants is not suitable or not tolerated
  • there is a risk of misuse of stimulants (either by the child or the adult supporting the child)
  • the child has comorbid motor tics, Tourette syndrome or a severe anxiety disorder.

If atomoxetine is indicated for ADHD in a child 6 years or older, use:

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child 70 kg or less: 0.5 mg/kg orally, daily, as a single dose in the morning or in 2 divided doses (morning and late afternoon) for at least 3 days, then increasing according to response to a target daily dose of 1.2 mg/kg (up to 80 mg). Increase after 2 to 4 additional weeks if needed, up to a maximum daily dose of 1.4 mg/kg (up to 100 mg). See further advice on monitoring and duration of treatment

child more than 70 kg: 40 mg orally, daily, as a single dose in the morning or in 2 divided doses (morning and late afternoon) for at least 3 days, then increasing according to response to a target daily dose of 80 mg. Increase after 2 to 4 additional weeks if needed, up to a maximum daily dose of 100 mg. See further advice on monitoring and duration of treatment.